Evidence map›Paper›PMID 34323339›Full record

ArticleHuman brain mapping2021

A novel approach for assessing hypoperfusion in stroke using spatial independent component analysis of resting-state fMRI.

Jiun-Yiing Hu, Evgeniya Kirilina, Till Nierhaus, Smadar Ovadia-Caro, Michelle Livne, Kersten Villringer, Daniel Margulies, Jochen B Fiebach, Arno Villringer, Ahmed A Khalil

Abstract read
In one paragraph

Article in Human brain mapping, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Systemic physiological "noise" in fMRI has clinical relevance.medRxiv : the preprint server for health sciences · 2025
    Article
  2. Interventions for Neural Plasticity in Stroke Recovery.Archives of internal medicine research · 2025
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Jiun-Yiing HuDepartment of Internal Medicine, University of Maryland School of Medicine, Baltimore, Maryland, USA.
Evgeniya KirilinaDepartment of Neurophysics, Max-Planck-Institute for Human Cognitive and Brain Sciences, Leipzig, Germany.
Till NierhausNeurocomputation and Neuroimaging Unit, Center for Cognitive Neuroscience Berlin (CCNB), Department of Education and Psychology, Freie Universität Berlin, Berlin, Germany.
Smadar Ovadia-CaroDepartment of Cognitive Sciences, University of Haifa, Haifa, Israel.
Michelle LivneCenter for Stroke Research Berlin, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Kersten VillringerCenter for Stroke Research Berlin, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Daniel MarguliesCentre National de la Recherche Scientifique (CNRS) UMR 7225, Frontlab, Institut du Cerveau et de la Moelle Épinière, Paris, France.
Jochen B FiebachCenter for Stroke Research Berlin, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Arno VillringerDepartment of Neurology, Max-Planck-Institute for Human Cognitive and Brain Sciences, Leipzig, Germany.
Ahmed A KhalilDepartment of Neurology, Max-Planck-Institute for Human Cognitive and Brain Sciences, Leipzig, Germany.ORCID 0000-0003-1752-4305

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Individualized treatment of acute stroke depends on the timely detection of ischemia and potentially salvageable tissue in the brain. Using functional MRI (fMRI), it is possible to characterize cerebral blood flow from blood-oxygen-level-dependent (BOLD) signals without the administration of exogenous contrast agents. In this study, we applied spatial independent component analysis to resting-state fMRI data of 37 stroke patients scanned within 24 hr of symptom onset, 17 of whom received follow-up scans the next day. Our analysis revealed "Hypoperfusion spatially-Independent Components" (HICs) whose spatial patterns of BOLD signal resembled regions of delayed perfusion depicted by dynamic susceptibility contrast MRI. These HICs were detected even in the presence of excessive patient motion, and disappeared following successful tissue reperfusion. The unique spatial and temporal features of HICs allowed them to be distinguished with high accuracy from other components in a user-independent manner (area under the curve = 0.93, balanced accuracy = 0.90, sensitivity = 1.00, and specificity = 0.85). Our study therefore presents a new, noninvasive method for assessing blood flow in acute stroke that minimizes interpretative subjectivity and is robust to severe patient motion.

Indexed as

AgedAged, 80 and overCerebrovascular CirculationConnectomeFemaleHumansIschemic StrokeMagnetic Resonance ImagingMaleMiddle Agedblood oxygenation level dependent signalperfusionresting-state functional magnetic resonance imagingspatial independent component analysisstroke

Identifiers

PMID34323339
PMCPMC8519861

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.